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HomeMy WebLinkAboutSERVICE FIRST CONTRACTORS NETWORK DBA SERVICE FIRSTqDCity of Santa Ana Clerk of the Coun,- coic oabc-e use oMy AGREEMENT TERMINATION FORM j Please complete this form when the attached agreement and all 2(9 9 Fti amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements City OF SAN TA ANA have been satisfied prior to signing the termination form. C ERK OF COUNCIL Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. i The agreement with �l�?JYU1Q � !& No. � b i I— /9 ffg was completed on (List all amendments. Use space below if needed.) ft -apI1 -au9—o i A- 'g0la 6v3--0, I A--5Lai2)- lcj � Yh-o-Zo 14-0--�CjS' Revised: 01-07-16 I � and final payment has been made. Department: V} tA+U Phone/Ext.: (t Signature: fS A 0-�> t Ak4Cln Date: a hw sa3 A-2014-295 THIS S COND AMENDMENT' TO AGREEMENT, made and entered into this �hday of�, 2014, by and between Service First Contractors Network dba Service 1", a California corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"), RECITALS A. City and Contractor entered into Agreement #A-2011-249, dated November 7, 2011, for a contractor having special skill and knowledge in the provision of fountain maintenance and repair services ("said Agreement"). B. City and Contractor entered into a First Extension of Fountain Maintenance Agreement #A-2013-192 to revise the Scope of Services, Compensation, and Term sections of said Agreement, C In accordance with the terms and conditions of said Agreement, the Parties desire to add to the scope of services and increase the compensation in said Agreement. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terns and oonditions of said Agreement, except as herein modified, the parties agree as follows: Section 1, SCOPE OF SERVICES, shall be amended to increase existing fountain maintenance contract from one day a week (Mondays) service to three days a week (Monday, Wednesday, and Friday) service of the five Civic Center fountains and the Second Street Mall fountain. 2. Section 2, COMPENSATION, the relevant portion of said section shall be amended to increase the annual compensation of $43,490.00 by $21,134.00, such that the total annual amount to be expended under said Agreement shall not exceed $65,1.24.00 during the ron-mining term of said Agreement, which pursuant to the previously amended terms of said Agreement terminates on December 31, 2015, unless terminated earlier pursuant to the terms of said Agreement. 3. Except as hereinabove modified, all terms and conditions of said Agreement shall remain in full force; and effect. 11! IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement the date and year first above written. ATTEST: Ual 1u, MARIA D. HUIZAR " Clerk of the Council APPROVED AS TO FORM: SONIA R., CARVALHO City Attpt roy n By:' Ryan RECOMMENDED FOR APPROVAL: GERARDO MOUET Executive Director Parks, Recreation & Community Services Agency CITY OF SANTA ANA DAVID CAVAZOS City Manager FIRST CONTRACTORS dba SERVICE 1" Exhibit A Fountain Locations 1 time a week Additional 2 times a week, except SARTC Original Amendment 3 times a week, except SARTC Total Total Fountain Location CostImo. $220/fountain Cost/Mo. Cost/Year 1 Plaza of the Fountain #1 North of State Building $425.00 $220.00 $645.00 $7,740.00 2 Plaza of the Fountain #2 East of Law Library $425.00 $220.00 $645.00 $7,740.00 3 Plaza of the Fountain #3 South of Law Library $425.00 $220.00 $645.00 $7,740.00 4 Plaza of the Sun Fountain North of City Hall and West of Ross Street $425.00 $220.00 $645.00 $7,740.00 5 Sasscer Park Fountain Comer of Santa Ana Blvd. and Ross Street $425.00 $220.00 $645.00 $7,740.00 6 Second Street Mall Fountain Between Sycamore St. & Broadway Ave. $200.00 $220.00 $420.00 $5,040.00 71 Santa Ana Regional Transportation Center Civic Center Drive. & Santiago Street $275.00 $100.00 $375.00 $4,500.00 Totals $2,600.00 $1,420.00 $4,020.00 $48,240.00 35% Contingency $16,884.00 Contract Total $65,124.00 1 •- a u CERTIFICATE OF LIABILITY INSURANCE 12111114 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Phone: 949-5539800 CONTACT NAME', The Woodltch Company Insurance Fax: 949-553-067 Services, Inc. 1 Park Plaza, Suite 400 Irvine, CA 92814 Chris Zehnder INCNa Ext(PAC. AZ: EMAIL ADDRESS, ................................. AFFORDING COVERAGE NXICIF ,,,,,,,,,,,,,,INSURER{S) INSURERA: (ronshore Specialty Ins. CO. 25445 MED EXP {Any one peront .p 5,00 14SLRM Service First Contractors INSURER B: Travelers Property Casualty Co 25674 Network dbaServiceFirst NsuRERc:Insurance Company afthe West _27647 2510 North Grand Ave, St 110 INSURER D: INSURERE: Santa Ana, CA 92705 rr)VPRAGES CFRTIFICATF NLIMRFR- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBF TYPEOFINSURANCEPOLICY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EXP LIMITS A GENERAL LIABILITY X CCNe4ERCW. u^E R%tL4siLtir X C1 AMS -MADE 1 OCCUR Attn: PRCSA AG80002500 11111194 11111115 EACHOCCLP.RENCE $ 1,000,0 77=PREMISES Ea occwrenoa a 50,00 MED EXP {Any one peront .p 5,00 PERSONAL & APV INJURY $ 1,000,0 GENERAL Ar GREGATC $ 2,000,0 GEN'_ ACGREGATC LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP/OP AGC $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUl'0 AUTOSNED SCHEDULED A TOS NON -OWNED HIRED AUTOS HAUTOS Ee accldent BODILY INJURY (Per person) $ BODILY INJURY(Perecudont) $ PROPERTY DAMAGE $� Per accident $ B UMBRELLALIA8X X ExCEsSU B OCCUR c'CNCU:-MASEUP-51M19018-14-NF 1Z 11!11/14 19111115 EACH OCCLARRENCE $ SAOO,QO ,ACGRECATE s 5,000,00 UP WTENTI(NN C WORKERS COMPENSATIONWC AND EMPLOYERS' LIABILITY ANY OFFICFPoMF.MBERE-XCLUDEDXECUTVE Y❑ N/A (Mandatory In NH) Df'dbpn2f ESCR P' IQetiVYhP OF ORERATIONS bauw WED 502804400 11/11/14 11(11/15 STATE TRILL X TORY LlM IG Et. EACHACCIDENT $ 1,000,00 EL DISEASE - EA EMPLOYEEI 1,000,00 E L DISEASE -POLICY LIMIT 1,000,00( Reviewed by: DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is roqulred) { *Except for 10 days notice of cancellation for non payment of premium. a.a All operations performed by the Named Insured during the current policy 1 .j� period. City of Santa Ana, its officers, agents, representatives, and Silvia Cuevas�{ employees are included as Additional Insureds as respects General Liability RCSAIAdmin /form (- i per attached endorsement. **SEE NOTES** laipP SANTAA9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Attn: PRCSA 20 Civic Center Plaza M-23 AUTHORIZED REPRESENTATIVE Santa Ana„ CA 92701 o6o� @ 1999-2010 ACORD CORPORATION. Alt rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD SERVI-1 PAGE 2 NOTEPAD INSURED'S NAME Service First Contractors OP ID: MEL DATE 12111114 *Should this policy be cancelled before the expiration date, The Wooditch Company will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement.* Reviewed by: Silvia Cuevas PRCSA/Admin. O�Yq (NOTEPAD. HOLDER CODE SANTAA9 SERVI-1 PAGE I INSURED'SNAME Service First Contractors OP ID: MEL DATE 12/11114 shall apply as Primary and Non -Contributory per attached Reviewed by: rIA Silvia Cuevas/9 PRCSA/Admin. POLICY NUMBER: AGS0082500 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ izations : Location(s) Of Covered Operations Additional Insureds shown in a written contract, or written Any location. agreement that includes primary and non-contributory warding. The inclusion of one or more Insured under the terms of this endorsement does not increase our limits of liability. All other terms and conditions remain unchanged. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person(s) or organizaticn(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished In connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Reviewed by: `41i Silvia Cuevas PRCSA/Admin. L CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: AGS0082500 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Additional Insureds shown in a written contract, or The insurance afforded by this policy for the benefit of written agreement that includes primary and the additional insured does not apply to non-contributory wording where required. 'property damage'to any building, structure or appurtenant structure intended to be occupied as The inclusion of one or more Insured under the terms of a 'private residence'. The term "private residence" this endorsement does not increase our limits of includes single family homes or residences, liability, multi -family homes or residences. Apartments are not "private considered residences". All other terms and conditions remain unchanged. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". Reviewed- by' SilviaCuevasI PRCSAIAdmin- CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑ ADDITIONAL INSURED ENDORSEMENT Insurance Company Ironshore Specialty Ins. Co. c/o The Wooditch Company This endorsement modifies such insurance as is afforded by the provisions of Policy # AGS0082500 relating to the following: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 12/11/2014 , this endorsement form as part of Policy # AGS0082500 Issued to Service First Contractors Network Name Insured Countersigned by Insurance Agent Signature Reviewed by: Silvia Cuevas PRCSAIAdmin. �� FE -6671 Page i of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SCHEDULE Policy Number: 1333423FO975 Named Insured: SERVICE FIRST CONTRACTOR'S NETWORK DBA: SERVICE FIRST Name and Address of Person or Organization: CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES ATTN;PRCSA 20 CIVIC CENTER PLAZA- M-23 SANTA ANA, CA 92701 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of; a. Your ongoing operations; or b. Your work done under contract with that person or organization and included in the products - completed operations hazard. This waiver applies only to the person or organization shown in the Schedule. All other policy provisions apply. FE -6671 0, Copyright, State Farm Mutual Automobile Insurance Company, 2WS Includes copyrighted material of Insurance Services Office, Inc., v" its permission. Reviewed by: . SIIVIa Cuevas I� PRCSAIAdmin• I F&8871 Printed in U.S.A. (04/00) jiHw Policy No.: 1333423F0975 0609 FE - SECTION II ADDITIONAL INSURED ENDORSEMENT N Policy No.: 1333423F0976 Named Insured: SERVICE FIRST CONTRACTOR'S NETWORK DBA: SERVICE FIRST Additional Insured (include address): CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES ATTN: PRCSA 20 CIVIC CENTER PLAZA- M-23 SANTA ANA, CA 92701 WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the Additional Insured shown above, but only to the extent that liability is imposed on that Additional Insured solely because of your work performed for that Additional Insured shown above, Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an "X" in the box. ® Primary Insurance, The insurance provided to the Additional Insured shown above shall be primary insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to you. All other policy provisions apply. Reviewed t fY/ FE -6609 �`� �^�""'"Pnnt d in U.S.A. PRCSAIAdrnin7 ACORO�OATE(MMIM1YYY)`I CERTIFICATE OF LIABILITY INSURANCE 12M012014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polley(ies) must he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER STATE FARM MUTUAL INSURANCE COMPANY Stateiarrn 1370 BREA BLVD STE. 150 AFULLERTON, CA 92835 NCO T A E: JOEY MONTGOMERY FNONE E .714526-7001P� Iq;714-520-0348 Am SE .JOEY OJOEYMONTGOMERY.COM INSURE 8 AFFORDING COVERAGE C, waURERA:State Farm Mutual Automobile Insurance Company x817& INSURED SERVICE FIRST CONTRACTOR'S NETWORK DBA: SERVICE FIRST 2510 N. GRAND AVENUE SUITE. 110 SANTA ANA, CA 92705 INSUREReI INSURERC: INSURER D: INSURER E: INSURER F: EACH OCCURRENCE 6 rnveoeace r1FRTIFIOATF_ NIIMRFR! REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INRRRTYPEOFINSURANCE fiUER POLICY NUMBER PO MMIUOYvXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MAGE ❑ OCCUR EACH OCCURRENCE 6 DAMAGE M PREMISES(Ea or nae E MED EXP (Ant ane Aron) S PERSONAL& ADV INJURY & GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ jECT LOC OTHER: GENERAL AGGREGATE S PRODUCTS-COMPCPAGG $ $ A AUTOMOBILE LIABILITY • X ANY AUTO is ALL OMED x SCHEDULED TCS NON -GAMED x AIRED AUTOS x AUTOS Y Y 1333423-809.75 06107/2014 06/07/2015 cD BI ESO SINGLE IMIT s 1,000,000 6001LY INJURY (Perperon) E Bp01LY INJURY (Per eacitlen0 E PROPERTY DAMA $ Peraaident S UMBRELLA LIAB EXCESS LIAO OCCUR CLAIMS -MADE EACH IX:CUHHENCE $ AGGREGATE $ _y DED RETENTIONS $ WOBHERLCOhIPELIMMUT ANDEMPLOYERSLIATNERV ANV PftOPRIUSESEXCLUDE/E%ECUl1VE YIN OF USES EXCLUDED? (M4MIM yIn NH) IIdesadoe under DESCRIPTION OF OPERATIONS below NIA Vv;l,W V VV V PER ER EL EACH ACCIDENT $ E.L.DISEASE -F.A EMPLOYE E E. L, DISEASE -POLICY LIMIT S Silvia Cu DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (ACORD 101, Additional Re r U A, May be attached If mon apace b nqulnd) THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES AND REPRESENATIVES AS ADDITIONAL INSURED IN REGARDS TO AUTO LIABILITY PER ATTACHED CG 201511!88 CANCELLATION NOTICE OF 30 DAYS WILL BE MAILED TO CERTIFICATE HOLDER. 10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. CITY OF SANTA ANA ATTN:PRCSA 20 CIVIC CENTER PLAZA- M-23 SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1988-2014 ACORD CORPORATION. All ACORD 25 (2014!01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014 AC"RL> CERTIFICATE OF LIABILITY INSURANCI DATE (MMIDD(MY) 12/2012016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holderis an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER I C2NTACT3OEY MONTGOMERY THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE: FOR THE POLICY' PERIOD STATE FARM MUTUAL INSURANCE COMPANY -(PAHONE .Ext1„.714-526-7001 ialC. No):714-526-0348 Sti1Jc3Fa1yI1 1370 BREA ELVC? STE. 150 E-MAIL JO YMONTGOMERY.COM w FULLERTON, CA 92835 9 INSURERLS) AFFOROIMG COVERAGE ,_.... MAIC it NA W IMSURER a tate Farm Mutual Automobile Insurance Company 25178 INSURED SERVICE FIRST CONTRACTOR'S NETWORK INSURER B: : SERVICE FIRST � � INSURER __ ..,___ DAMAi RENTED 2510 N. GRAND AVENUE SUITE A 1I u� SANTA ANA 92705 LI D INSURER O : _ ...._ ..._ _. ...._..� .. INSURER E- CLAIMS -MADE OCCUR SCA I J+ INSURER P s COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE: FOR THE POLICY' PERIOD INDICATED. NOTVWITHSTANDING ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE, INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NINE BEEN REDUCED BY PAID CLAIMS. _ TYPE OF ...................____ .-.. . ... ,....._ .__..._. _... ....,,._.. .-..__.. _._ ......._....... ........._...-.__..._......... _ . _...,.._ ............. . ROLICY EPF POLICY EXP LIMITS ILTR AIN D ,l POLICY NUMBER IMMID MMIDW(YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE .m_. _........ 17 __ ..,___ DAMAi RENTED CLAIMS -MADE OCCUR PREMISES,(,Eaoacurrer„bcla. ff 44 MED E7tP la+iy orrye pecsonl-..._...... . .------..--------- I .... .. _ .._ ._.r - ... .. PERSONAL & ADV INJURY S _.—_.... ... _ .... „ .._ .. .._-.. GEN'L PER: AGGREGATE LIMIT APPLIES P a GENERALAGGREGATC $ .._..., Pot.1CY I 1PERcoiLOC _ PRODUCTS COMPIOP AGG OTHER: S A AUTOMOBILE LIABILITY � 133 3423-F09-76 _ 015107=16U015107=16iI 061071201770610712017COMBINED SINGLE LIMITEaacudemmi} � I000;000 ANY AUTOi ._ .....� ALL OWNED SCHEDULED BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ AUTOS __.. AUTOS NON-O%NED .�. _..._ 'ROPER7Y DAMAGE X ! HIRF0 AUTOS % AUTOS Il $ (Peracriaenl) _. .. _,_..............._ $ UMBRELLA LIAR I, � OCCUR --ill G EACH OCCURRENCE, S .W......,,._._ ..._.___...._......_�.�_ -- EXCESS CLAIMS-MADEV E1} y� AGGREGATES DED RETENTIONS $ WORKERS COMPENSATION WORKERS � AND EMPLOYERS' LIABILITY Y� � � ^� � � "'` �IN PER _ ER ANY PROPRIETORIPARTN ERIEKECUTlVE NIA E L EP.C)H ACCIDENT $ .__ ..... - _-_---____-. ......... OFFICERIMEMBER EXCLUDER? (Mandatory In NH) ,»,.,. e 11 L, DISEASE : EA. EMPLOYE=E S If yyes, dascdba tender It,� _._._. ' DE5CRIPTION OF OPERATIONS below �t^” E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedules, may be attathed it more space is rettuiredl CERTIFICATE HOLDER, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO AUTO LIABILITY 30 Day Notice of Cancellation (10 day notice for nen-payment of premium) UIcK I P,I^Ir.rA I t HULUEK t..AFMWsMILL A I Ivey CITY OF SANTA ANA ATTN: PRCSA 20 CIVIC CENTER PLAZA -M-23 SANTA ANA, CA 92701' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (0 1986-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (201'4101) The ACORD name and logo are registered' marks of ACORD 1001'486 132849.9 02-04-2014 JIHW Policy No,: 1333423FO975 6609 29 ake rawer SECTION 11 ADDITIONAL INSURED ENDORSEMENT I" Policy No.. 1333423FO975 Named Insured: SERVICE FIRST CONTRACTOR'S NETWORK DBA: SERVICE FIRST CITY OF SANTA ANA ATTN': PRCSA 20, CIVIC CENTER PLAZA -M-23 SANTA ANA, CA 92701 gevOt"d bN" CU 'J as fo-'0 WHO IS AN INSURED, under SECTION 11 DESIGNATION OF INSURED, is amended to include as an insured the Additional Insured shown above, but only to the extent that liability is imposed on that Additional Insured solely because of your work performed for that Additional Insured shown above. Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an "X" in the box. Primary insurance, The insurance provided to the Additional Insured shown above shall be primary insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to you. All other policy provisions apply. FE -6609 Printed in U.S.A.